| NPI | 1083887673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 5194) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: PA 000995E) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: WI 4067) | |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2023-12-18 |